Amendments for SB23-083
Senate Journal, March 3
After consideration on the merits, the Committee recommends that SB23-083 be amended
as follows, and as so amended, be referred to the Committee of the Whole with favorable
recommendation.
Amend printed bill page 3, line 1, strike "(6) (a)" and substitute "(6) (a) (I)".
Page 3, strike line 22 and substitute "A PHYSICIAN LICENSED IN GOOD STANDING
PURSUANT TO THIS ARTICLE 240 OR ARTICLE 290 OF THIS TITLE 12 OR A
PHYSICIAN GROUP.
(II) AS USED IN THIS SUBSECTION (6), "EMPLOYER" HAS THE MEANING
SET FORTH IN SECTION 12-240-114.5 (1)(c).".
page 5, line 20, strike "SOUND MEDICAL PRACTICE." and substitute "GENERALLY
ACCEPTED STANDARDS OF MEDICAL PRACTICE.".
Page 6, line 10, after the period insert "A COLLABORATING EMPLOYER,
PHYSICIAN, OR PHYSICIAN GROUP MUST IDENTIFY TO PATIENTS THAT A
PHYSICIAN ASSISTANT PROVIDING CARE IS A PHYSICIAN ASSISTANT.".
Page 6, line 18, strike "RESPONSIBLE" and substitute "LIABLE".
Page 7, after line 15 insert:
"(c) "EMPLOYER" MEANS A PERSON THAT EMPLOYS A PHYSICIAN.".
Page 7, line 16, strike "(c)" and substitute "(d)".
Page 8, after line 5 insert:
"(e) "PHYSICIAN" MEANS A PHYSICIAN LICENSED IN GOOD STANDING
PURSUANT TO THIS ARTICLE 240 OR ARTICLE 290 OF THIS TITLE 12, INCLUDING
A PHYSICIAN IN A PHYSICIAN GROUP.".
Page 8, line 9, after "PHYSICIAN." insert "THE PHYSICIAN ENTERING INTO A
COLLABORATIVE AGREEMENT MUST BE ACTIVELY PRACTICING IN COLORADO
WITH A REGULAR AND RELIABLE PHYSICAL PRESENCE IN COLORADO.".
Page 9, line 2, strike "GENERAL".
Page 9, line 21, strike "THREE" and substitute "FIVE".
Page 9, line 22, strike "THE COLLABORATIVE AGREEMENT" and substitute "OR
A PHYSICIAN ASSISTANT CHANGING PRACTICE AREAS WITH FEWER THAN THREE
THOUSAND PRACTICE HOURS IN THE NEW PRACTICE AREA, THE COLLABORATIVE
AGREEMENT IS A SUPERVISORY AGREEMENT THAT MUST INCLUDE THE
PROVISIONS DESCRIBED IN SUBSECTIONS (2)(a)(III)(A), (2)(a)(III)(B), (2)(a)(IV),
AND (2)(a)(V) OF THIS SECTION AND".
Page 9, line 26, strike "PHYSICIAN" and substitute "PHYSICIAN, PHYSICIAN
GROUP,".
Page 10, line 5, strike "PHYSICIAN" and substitute "PHYSICIAN, PHYSICIAN
GROUP,".
Page 10, line 25, strike "THREE" and substitute "FIVE".
Senate Journal, March 7
SB23-083 by Senator(s) Winter F. and Simpson; --Concerning an expansion of a physician assistant's
ability to practice, and, in connection therewith, changing the relationship between a
physician assistant and a physician or podiatrist from supervision to collaboration.
Amendment No. 2(L.018), by Senator Winter.
Amend the Health and Human Services Committee Report, dated March 2,
2023, page 1, strike lines 1 and 2.
Page 1 of the report, line 3, strike "Page" and substitute "Amend printed bill,
page".
Page 3 of the bill, line 21, strike "AN EMPLOYER OR".
Page 1 of the report, strike lines 5 through 7 and substitute "12, A PHYSICIAN
GROUP, OR A CHIEF MEDICAL OFFICER.".".
Page 1 of the report, line 10, strike ""A COLLABORATING EMPLOYER," and
substitute ""AN EMPLOYER, CHIEF MEDICAL OFFICER,".
Page 7 of the bill, lines 8 and 9, strike "AN EMPLOYER OR".
Page 1 of the report, strike lines 14 through 16.
Page 1 of the report, line 18, strike "(e)" and substitute "(d)".
Page 8 of the bill, line 9, strike "AN EMPLOYER" and substitute "A CHIEF
MEDICAL OFFICER".
Page 8 of the bill, line 23, strike "OR A REPRESENTATIVE OF THE EMPLOYER" and
substitute "PHYSICIAN GROUP, OR CHIEF MEDICAL OFFICER".
Page 2 of the report, strike lines 14 through 17 and substitute:
"Page 9 of the bill, line 26, strike "PHYSICIAN OR EMPLOYER" and substitute
"PHYSICIAN, PHYSICIAN GROUP, OR CHIEF MEDICAL OFFICER".
Page 10 of the bill, line 5, strike "PHYSICIAN OR EMPLOYER" and substitute
"PHYSICIAN, PHYSICIAN GROUP, OR CHIEF MEDICAL OFFICER".".
Page 10 of the bill, line 16, strike "PHYSICIAN OR EMPLOYER" and substitute
"PHYSICIAN, PHYSICIAN GROUP, OR CHIEF MEDICAL OFFICER".
Page 2 of the report, strike line 18 and substitute: "Page 10, lines 25 and 26,
strike "THREE THOUSAND PRACTICE HOURS," and substitute "THE NUMBER OF
PRACTICE HOURS REQUIRED PURSUANT TO SUBSECTION (2) OF THIS SECTION,".".
Amendment No. 3(L.020), by Senator Winter.
Amend the Winter F. and Simpson floor amendment (SB083_L.018), page 1,
line 6, strike ""12, A" and substitute ""12 OR A".
Page 1, strike line 7 and substitute "PHYSICIAN GROUP.".".
Page 1, line 9, strike "CHIEF MEDICAL OFFICER,".".
Page 1, strike lines 13 and 14.
Page 1, lines 16 and 17, strike ""PHYSICIAN GROUP, OR CHIEF MEDICAL
OFFICER"." and substitute " OR PHYSICIAN GROUP".".
Page 1, line 20, strike ""PHYSICIAN, PHYSICIAN GROUP, OR CHIEF MEDICAL
OFFICER"." and substitute "PHYSICIAN OR PHYSICIAN GROUP".
Page 1, strike line 22 and substitute ""PHYSICIAN OR PHYSICIAN GROUP".".
Page 1, line 24, strike ""PHYSICIAN, PHYSICIAN GROUP, OR CHIEF MEDICAL
OFFICER"." and substitute ""PHYSICIAN OR PHYSICIAN GROUP".".
As amended, ordered engrossed and placed on the calendar for third reading and final
passage.
Senate Journal, March 9
SB23-083 by Senator(s) Winter F. and Simpson; --Concerning an expansion of a physician assistant's
ability to practice, and, in connection therewith, changing the relationship between a
physician assistant and a physician or podiatrist from supervision to collaboration.
A majority of those elected to the Senate having voted in the affirmative, Senator Winter
was given permission to offer a third reading amendment.
Third Reading Amendment No. 1(L.022), by Senator Winter.
Amend engrossed bill, page 7, strike line 13 and substitute "PHYSICIAN OR
PHYSICIAN GROUP; OR".
Page 7, line 19, strike "AN EMPLOYER OR" and strike "PHYSICIAN." and
substitute "PHYSICIAN OR A PHYSICIAN GROUP.".
Page 8, line 16, strike "AN EMPLOYER OR A PHYSICIAN." and substitute "A
PHYSICIAN OR A PHYSICIAN GROUP.".
Page 9, line 6, strike "PHYSICIAN," and substitute "PHYSICIAN".
Page 9, line 16, strike "EMPLOYER OR PHYSICIAN" and substitute "PHYSICIAN OR
PHYSICIAN GROUP".
The amendment was passed on the following roll call vote:
House Journal, March 23
13 SB23-083 be amended as follows, and as so amended, be referred to
14 the Committee of the Whole with favorable
15 recommendation:
16
17 Amend reengrossed bill, page 4, line 13, after "ACTS" insert "WITHIN THE
18 PHYSICIAN ASSISTANT'S EDUCATION, EXPERIENCE, AND COMPETENCY".
19
20 Page 9, line 14, strike "DETERMINED AT" and substitute "BASED ON".
21
22 Page 9, strike line 15 and substitute "LOCATION AND AREA OF PRACTICE
23 AND MAY INCLUDE:".
24
25 Page 9, line 26, strike "EMPLOYER OR".
26
27 Page 10, line 4, strike "FOR" and substitute "EXCEPT AS PROVIDED IN
28 SUBSECTION (2)(b)(IV) OF THIS SECTION, FOR".
29
30 Page 10, lines 13 and 14, strike "OR EMPLOYER".
31
32 Page 11, line 12, strike "AFTER" and insert "EXCEPT AS PROVIDED IN
33 SUBSECTION (2)(b)(IV) OF THIS SECTION, AFTER".
34
35 Page 11, after line 15 insert:
36
37 "(IV) NOTWITHSTANDING THE PROVISIONS OF SUBSECTION (2) OF
38 THIS SECTION:
39 (A) FOR A PHYSICIAN ASSISTANT ENTERING INTO A
40 COLLABORATIVE AGREEMENT WITH A PHYSICIAN OR PHYSICIAN GROUP IN
41 THE EMERGENCY DEPARTMENT OF A HOSPITAL WITH A LEVEL I OR LEVEL
42 II TRAUMA CENTER, THE COLLABORATIVE AGREEMENT REMAINS A
43 SUPERVISORY AGREEMENT AND CONTINUES INDEFINITELY.
44 (B) FOR A PHYSICIAN ASSISTANT CHANGING PRACTICE AREAS TO
45 PRACTICE IN AN EMERGENCY DEPARTMENT OF A HOSPITAL THAT IS NOT A
46 LEVEL I OR LEVEL II TRAUMA CENTER, THE SUPERVISING PHYSICIAN OR
47 PHYSICIAN GROUP MAY INCREASE THE NUMBER OF HOURS FOR WHICH THE
48 COLLABORATIVE AGREEMENT IS A SUPERVISORY AGREEMENT PURSUANT
49 TO SUBSECTION (2)(b) OF THIS SECTION.".